John David Fagan is a Urology in Vicksburg, Mississippi. John David Fagan practices all healthcare services and medical treatments related to Urology. The NPI Number for John David Fagan is 1801827019. The last update date is 2020-09-10.
John David Fagan's current location address is 2200 Highway 61 N, Vicksburg, Mississippi. You can contact this provider via phone number 6018835940. The mailing address for John David Fagan is 2200 Highway 61 N, Vicksburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John David Fagan |
|---|---|
| Address | 2200 Highway 61 N, Vicksburg, Mississippi |
| Phone Number | 6018835940 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1801827019 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2020-09-10 |
Provider Mailing Address Detail
| Address | 2200 Highway 61 N |
|---|---|
| City | Vicksburg |
| State | Mississippi (MS) |
| Post Code | 391838246 |
| Phone Number | 6018835940 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 12624 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16970 | MS | -- | |
| 4547365 | MS | AETNA | |
| 1901474 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John David Fagan by the Centers for Medicare & Medicaid Services (CMS)?
The John David Fagan has been assigned the NPI (National Provider Identifier) 1801827019. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where John David Fagan's facilities are geographically located?
The facilities of John David Fagan are physically situated at the following location: 2200 Highway 61 N, Vicksburg, MS, 391838246.
What is John David Fagan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John David Fagan is Urology, and the corresponding taxonomy classification code for this specialized field is 208800000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1801827019 to John David Fagan?
The Centers for Medicare & Medicaid Services assigned the 1801827019 to John David Fagan on 2006-07-05.
When was the information regarding John David Fagan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John David Fagan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-09-10.